| NPI | 1275808826 |
|---|---|
| Doing Business As | LOTUS ORTHODONTICS AND PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | TSUNG-JU HSIEH President 503-987-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D8764) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: OR D8383) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |